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          <h1 id="header_1" class="form-header">
            Equipment Purchase
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          Category<span class="form-required">*</span>
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      <div class="form-description" style="display: none; "><div class="form-description-arrow"></div><div class="form-description-arrow-small"></div><div class="form-description-content">Please select a Category for your request based on total amount.</div></div></li>
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      <div class="form-description" style="display: none; "><div class="form-description-arrow"></div><div class="form-description-arrow-small"></div><div class="form-description-content">Project from which the purchase is being funded</div></div></li>
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          Number of Items<span class="form-required">*</span>
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            <option value="5"> 5 </option>
            <option value="6"> 6 </option>
            <option value="7"> 7 </option>
            <option value="8"> 8 </option>
            <option value="9"> 9 </option>
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            Item Number 1
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          Quantity 1<span class="form-required">*</span>
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            <option value="2"> 2 </option>
            <option value="3"> 3 </option>
            <option value="4"> 4 </option>
            <option value="5"> 5 </option>
            <option value="6"> 6 </option>
            <option value="7"> 7 </option>
            <option value="8"> 8 </option>
            <option value="9"> 9 </option>
            <option value="10"> 10 </option>
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      <li class="form-line" id="id_73">
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          Cost 1<span class="form-required">*</span>
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      <div class="form-description" style="display: none; "><div class="form-description-arrow"></div><div class="form-description-arrow-small"></div><div class="form-description-content">Cost of single unit of the Item</div></div></li>
      <li class="form-line" id="id_70">
        <label class="form-label-left" id="label_70" for="input_70">
          Item Description &amp; Specifications 1<span class="form-required">*</span>
        </label>
        <div id="cid_70" class="form-input">
          <textarea id="input_70" class="form-textarea validate[required]" name="q70_itemDescription70" cols="40" rows="6" placeholder="Laptop"></textarea>
        </div>
      <div class="form-description" style="display: none; "><div class="form-description-arrow"></div><div class="form-description-arrow-small"></div><div class="form-description-content">Technical Specifications and Details of Item</div></div></li>
      <li class="form-line" id="id_91">
        <label class="form-label-left" id="label_91" for="input_91"> List of Suppliers 1 </label>
        <div id="cid_91" class="form-input">
          <textarea id="input_91" class="form-textarea" name="q91_listOf91" cols="40" rows="6"></textarea>
        </div>
      </li>
      <li id="cid_44" class="form-input-wide" style="display: none; ">
        <div class="form-header-group">
          <h3 id="header_44" class="form-header">
            Item Number 2
          </h3>
        </div>
      </li>
      <li class="form-line" id="id_27" style="z-index: 0; display: none; ">
        <label class="form-label-left" id="label_27" for="input_27">
          Item Name<span class="form-required">*</span>
        </label>
        <div id="cid_27" class="form-input">
          <input type="text" class="form-textbox validate[required, AlphaNumeric]" id="input_27" name="q27_itemName27" size="20" maxlength="255" placeholder="Laptop">
        </div>
      <div class="form-description" style="display: none; "><div class="form-description-arrow"></div><div class="form-description-arrow-small"></div><div class="form-description-content">Name of the Item</div></div></li>
      <li class="form-line" id="id_57" style="display: none; ">
        <label class="form-label-left" id="label_57" for="input_57">
          Quantity<span class="form-required">*</span>
        </label>
        <div id="cid_57" class="form-input">
          <select class="form-dropdown validate[required]" style="width:150px" id="input_57" name="q57_quantity57">
            <option>  </option>
            <option value="Option 1"> Option 1 </option>
            <option value="Option 2"> Option 2 </option>
            <option value="Option 3"> Option 3 </option>
          </select>
        </div>
      </li>
      <li class="form-line" id="id_82" style="z-index: 0; display: none; ">
        <label class="form-label-left" id="label_82" for="input_82">
          Cost<span class="form-required">*</span>
        </label>
        <div id="cid_82" class="form-input"><span class="form-sub-label-container"><input type="text" class="form-textbox validate[required, Numeric]" id="input_82" name="q82_cost" size="20" maxlength="5" placeholder="10000">
            <label class="form-sub-label" for="input_82"> Rs. </label></span>
        </div>
      <div class="form-description" style="display: none; "><div class="form-description-arrow"></div><div class="form-description-arrow-small"></div><div class="form-description-content">Cost of single unit of the Item</div></div></li>
      <li class="form-line" id="id_69" style="z-index: 0; display: none; ">
        <label class="form-label-left" id="label_69" for="input_69">
          Item Description &amp; Specifications<span class="form-required">*</span>
        </label>
        <div id="cid_69" class="form-input">
          <textarea id="input_69" class="form-textarea validate[required]" name="q69_itemDescription69" cols="40" rows="6" placeholder="Laptop"></textarea>
        </div>
      <div class="form-description" style="display: none; "><div class="form-description-arrow"></div><div class="form-description-arrow-small"></div><div class="form-description-content">Technical Specifications and Details of Item</div></div></li>
      <li class="form-line" id="id_90" style="display: none; ">
        <label class="form-label-left" id="label_90" for="input_90"> List of Suppliers </label>
        <div id="cid_90" class="form-input">
          <textarea id="input_90" class="form-textarea" name="q90_listOf90" cols="40" rows="6"></textarea>
        </div>
      </li>
      <li id="cid_47" class="form-input-wide" style="display: none; ">
        <div class="form-header-group">
          <h3 id="header_47" class="form-header">
            Item Number 3
          </h3>
        </div>
      </li>
      <li class="form-line" id="id_31" style="z-index: 0; display: none; ">
        <label class="form-label-left" id="label_31" for="input_31">
          Item Name 3<span class="form-required">*</span>
        </label>
        <div id="cid_31" class="form-input">
          <input type="text" class="form-textbox validate[required, AlphaNumeric]" id="input_31" name="q31_itemName31" size="20" maxlength="255" placeholder="Laptop">
        </div>
      <div class="form-description" style="display: none; "><div class="form-description-arrow"></div><div class="form-description-arrow-small"></div><div class="form-description-content">Name of the Item</div></div></li>
      <li class="form-line" id="id_22" style="display: none; ">
        <label class="form-label-left" id="label_22" for="input_22">
          Quantity 3<span class="form-required">*</span>
        </label>
        <div id="cid_22" class="form-input">
          <select class="form-dropdown validate[required]" style="width:150px" id="input_22" name="q22_quantity3">
            <option>  </option>
            <option value="Option 1"> Option 1 </option>
            <option value="Option 2"> Option 2 </option>
            <option value="Option 3"> Option 3 </option>
          </select>
        </div>
      </li>
      <li class="form-line" id="id_74" style="z-index: 0; display: none; ">
        <label class="form-label-left" id="label_74" for="input_74">
          Cost 3<span class="form-required">*</span>
        </label>
        <div id="cid_74" class="form-input"><span class="form-sub-label-container"><input type="text" class="form-textbox validate[required, Numeric]" id="input_74" name="q74_cost3" size="20" maxlength="5" placeholder="10000">
            <label class="form-sub-label" for="input_74"> Rs. </label></span>
        </div>
      <div class="form-description" style="display: none; "><div class="form-description-arrow"></div><div class="form-description-arrow-small"></div><div class="form-description-content">Cost of single unit of the Item</div></div></li>
      <li class="form-line" id="id_68" style="z-index: 0; display: none; ">
        <label class="form-label-left" id="label_68" for="input_68">
          Item Description &amp; Specifications 3<span class="form-required">*</span>
        </label>
        <div id="cid_68" class="form-input">
          <textarea id="input_68" class="form-textarea validate[required]" name="q68_itemDescription68" cols="40" rows="6" placeholder="Laptop"></textarea>
        </div>
      <div class="form-description" style="display: none; "><div class="form-description-arrow"></div><div class="form-description-arrow-small"></div><div class="form-description-content">Technical Specifications and Details of Item</div></div></li>
      <li class="form-line" id="id_89" style="display: none; ">
        <label class="form-label-left" id="label_89" for="input_89"> List of Suppliers 3 </label>
        <div id="cid_89" class="form-input">
          <textarea id="input_89" class="form-textarea" name="q89_listOf89" cols="40" rows="6"></textarea>
        </div>
      </li>
      <li id="cid_48" class="form-input-wide" style="display: none; ">
        <div class="form-header-group">
          <h3 id="header_48" class="form-header">
            Item Number 4
          </h3>
        </div>
      </li>
      <li class="form-line" id="id_30" style="z-index: 0; display: none; ">
        <label class="form-label-left" id="label_30" for="input_30">
          Item Name 4<span class="form-required">*</span>
        </label>
        <div id="cid_30" class="form-input">
          <input type="text" class="form-textbox validate[required, AlphaNumeric]" id="input_30" name="q30_itemName" size="20" maxlength="255" placeholder="Laptop">
        </div>
      <div class="form-description" style="display: none; "><div class="form-description-arrow"></div><div class="form-description-arrow-small"></div><div class="form-description-content">Name of the Item</div></div></li>
      <li class="form-line" id="id_59" style="display: none; ">
        <label class="form-label-left" id="label_59" for="input_59">
          Quantity 4<span class="form-required">*</span>
        </label>
        <div id="cid_59" class="form-input">
          <select class="form-dropdown validate[required]" style="width:150px" id="input_59" name="q59_quantity4">
            <option>  </option>
            <option value="Option 1"> Option 1 </option>
            <option value="Option 2"> Option 2 </option>
            <option value="Option 3"> Option 3 </option>
          </select>
        </div>
      </li>
      <li class="form-line" id="id_75" style="z-index: 0; display: none; ">
        <label class="form-label-left" id="label_75" for="input_75">
          Cost 4<span class="form-required">*</span>
        </label>
        <div id="cid_75" class="form-input"><span class="form-sub-label-container"><input type="text" class="form-textbox validate[required, Numeric]" id="input_75" name="q75_cost4" size="20" maxlength="5" placeholder="10000">
            <label class="form-sub-label" for="input_75"> Rs. </label></span>
        </div>
      <div class="form-description" style="display: none; "><div class="form-description-arrow"></div><div class="form-description-arrow-small"></div><div class="form-description-content">Cost of single unit of the Item</div></div></li>
      <li class="form-line" id="id_66" style="z-index: 0; display: none; ">
        <label class="form-label-left" id="label_66" for="input_66">
          Item Description &amp; Specifications 4<span class="form-required">*</span>
        </label>
        <div id="cid_66" class="form-input">
          <textarea id="input_66" class="form-textarea validate[required]" name="q66_itemDescription66" cols="40" rows="6" placeholder="Laptop"></textarea>
        </div>
      <div class="form-description" style="display: none; "><div class="form-description-arrow"></div><div class="form-description-arrow-small"></div><div class="form-description-content">Technical Specifications and Details of Item</div></div></li>
      <li class="form-line" id="id_88" style="display: none; ">
        <label class="form-label-left" id="label_88" for="input_88"> List of Suppliers 4 </label>
        <div id="cid_88" class="form-input">
          <textarea id="input_88" class="form-textarea" name="q88_listOf88" cols="40" rows="6"></textarea>
        </div>
      </li>
      <li id="cid_52" class="form-input-wide" style="display: none; ">
        <div class="form-header-group">
          <h3 id="header_52" class="form-header">
            Item Number 5
          </h3>
        </div>
      </li>
      <li class="form-line" id="id_29" style="z-index: 0; display: none; ">
        <label class="form-label-left" id="label_29" for="input_29">
          Item Name 5<span class="form-required">*</span>
        </label>
        <div id="cid_29" class="form-input">
          <input type="text" class="form-textbox validate[required, AlphaNumeric]" id="input_29" name="q29_itemName29" size="20" maxlength="255" placeholder="Laptop">
        </div>
      <div class="form-description" style="display: none; "><div class="form-description-arrow"></div><div class="form-description-arrow-small"></div><div class="form-description-content">Name of the Item</div></div></li>
      <li class="form-line" id="id_56" style="display: none; ">
        <label class="form-label-left" id="label_56" for="input_56">
          Quantity 5<span class="form-required">*</span>
        </label>
        <div id="cid_56" class="form-input">
          <select class="form-dropdown validate[required]" style="width:150px" id="input_56" name="q56_quantity5">
            <option>  </option>
            <option value="Option 1"> Option 1 </option>
            <option value="Option 2"> Option 2 </option>
            <option value="Option 3"> Option 3 </option>
          </select>
        </div>
      </li>
      <li class="form-line" id="id_76" style="z-index: 0; display: none; ">
        <label class="form-label-left" id="label_76" for="input_76">
          Cost 5<span class="form-required">*</span>
        </label>
        <div id="cid_76" class="form-input"><span class="form-sub-label-container"><input type="text" class="form-textbox validate[required, Numeric]" id="input_76" name="q76_cost5" size="20" maxlength="5" placeholder="10000">
            <label class="form-sub-label" for="input_76"> Rs. </label></span>
        </div>
      <div class="form-description" style="display: none; "><div class="form-description-arrow"></div><div class="form-description-arrow-small"></div><div class="form-description-content">Cost of single unit of the Item</div></div></li>
      <li class="form-line" id="id_67" style="z-index: 0; display: none; ">
        <label class="form-label-left" id="label_67" for="input_67">
          Item Description &amp; Specifications 5<span class="form-required">*</span>
        </label>
        <div id="cid_67" class="form-input">
          <textarea id="input_67" class="form-textarea validate[required]" name="q67_itemDescription67" cols="40" rows="6" placeholder="Laptop"></textarea>
        </div>
      <div class="form-description" style="display: none; "><div class="form-description-arrow"></div><div class="form-description-arrow-small"></div><div class="form-description-content">Technical Specifications and Details of Item</div></div></li>
      <li class="form-line" id="id_87" style="display: none; ">
        <label class="form-label-left" id="label_87" for="input_87"> List of Suppliers 5 </label>
        <div id="cid_87" class="form-input">
          <textarea id="input_87" class="form-textarea" name="q87_listOf87" cols="40" rows="6"></textarea>
        </div>
      </li>
      <li id="cid_51" class="form-input-wide" style="display: none; ">
        <div class="form-header-group">
          <h3 id="header_51" class="form-header">
            Item Number 6
          </h3>
        </div>
      </li>
      <li class="form-line" id="id_28" style="z-index: 0; display: none; ">
        <label class="form-label-left" id="label_28" for="input_28">
          Item Name 6<span class="form-required">*</span>
        </label>
        <div id="cid_28" class="form-input">
          <input type="text" class="form-textbox validate[required, AlphaNumeric]" id="input_28" name="q28_itemName28" size="20" maxlength="255" placeholder="Laptop">
        </div>
      <div class="form-description" style="display: none; "><div class="form-description-arrow"></div><div class="form-description-arrow-small"></div><div class="form-description-content">Name of the Item</div></div></li>
      <li class="form-line" id="id_60" style="display: none; ">
        <label class="form-label-left" id="label_60" for="input_60">
          Quantity 6<span class="form-required">*</span>
        </label>
        <div id="cid_60" class="form-input">
          <select class="form-dropdown validate[required]" style="width:150px" id="input_60" name="q60_quantity6">
            <option>  </option>
            <option value="Option 1"> Option 1 </option>
            <option value="Option 2"> Option 2 </option>
            <option value="Option 3"> Option 3 </option>
          </select>
        </div>
      </li>
      <li class="form-line" id="id_77" style="z-index: 0; display: none; ">
        <label class="form-label-left" id="label_77" for="input_77">
          Cost 6<span class="form-required">*</span>
        </label>
        <div id="cid_77" class="form-input"><span class="form-sub-label-container"><input type="text" class="form-textbox validate[required, Numeric]" id="input_77" name="q77_cost6" size="20" maxlength="5" placeholder="10000">
            <label class="form-sub-label" for="input_77"> Rs. </label></span>
        </div>
      <div class="form-description" style="display: none; "><div class="form-description-arrow"></div><div class="form-description-arrow-small"></div><div class="form-description-content">Cost of single unit of the Item</div></div></li>
      <li class="form-line" id="id_65" style="z-index: 0; display: none; ">
        <label class="form-label-left" id="label_65" for="input_65">
          Item Description &amp; Specifications 6<span class="form-required">*</span>
        </label>
        <div id="cid_65" class="form-input">
          <textarea id="input_65" class="form-textarea validate[required]" name="q65_itemDescription65" cols="40" rows="6" placeholder="Laptop"></textarea>
        </div>
      <div class="form-description" style="display: none; "><div class="form-description-arrow"></div><div class="form-description-arrow-small"></div><div class="form-description-content">Technical Specifications and Details of Item</div></div></li>
      <li class="form-line" id="id_86" style="display: none; ">
        <label class="form-label-left" id="label_86" for="input_86"> List of Suppliers 6 </label>
        <div id="cid_86" class="form-input">
          <textarea id="input_86" class="form-textarea" name="q86_listOf86" cols="40" rows="6"></textarea>
        </div>
      </li>
      <li id="cid_50" class="form-input-wide" style="display: none; ">
        <div class="form-header-group">
          <h3 id="header_50" class="form-header">
            Item Number 7
          </h3>
        </div>
      </li>
      <li class="form-line" id="id_26" style="z-index: 0; display: none; ">
        <label class="form-label-left" id="label_26" for="input_26">
          Item Name 7<span class="form-required">*</span>
        </label>
        <div id="cid_26" class="form-input">
          <input type="text" class="form-textbox validate[required, AlphaNumeric]" id="input_26" name="q26_itemName26" size="20" maxlength="255" placeholder="Laptop">
        </div>
      <div class="form-description" style="display: none; "><div class="form-description-arrow"></div><div class="form-description-arrow-small"></div><div class="form-description-content">Name of the Item</div></div></li>
      <li class="form-line" id="id_61" style="display: none; ">
        <label class="form-label-left" id="label_61" for="input_61">
          Quantity 7<span class="form-required">*</span>
        </label>
        <div id="cid_61" class="form-input">
          <select class="form-dropdown validate[required]" style="width:150px" id="input_61" name="q61_quantity7">
            <option>  </option>
            <option value="Option 1"> Option 1 </option>
            <option value="Option 2"> Option 2 </option>
            <option value="Option 3"> Option 3 </option>
          </select>
        </div>
      </li>
      <li class="form-line" id="id_78" style="z-index: 0; display: none; ">
        <label class="form-label-left" id="label_78" for="input_78">
          Cost 7<span class="form-required">*</span>
        </label>
        <div id="cid_78" class="form-input"><span class="form-sub-label-container"><input type="text" class="form-textbox validate[required, Numeric]" id="input_78" name="q78_cost7" size="20" maxlength="5" placeholder="10000">
            <label class="form-sub-label" for="input_78"> Rs. </label></span>
        </div>
      <div class="form-description" style="display: none; "><div class="form-description-arrow"></div><div class="form-description-arrow-small"></div><div class="form-description-content">Cost of single unit of the Item</div></div></li>
      <li class="form-line" id="id_64" style="z-index: 0; display: none; ">
        <label class="form-label-left" id="label_64" for="input_64">
          Item Description &amp; Specifications 7<span class="form-required">*</span>
        </label>
        <div id="cid_64" class="form-input">
          <textarea id="input_64" class="form-textarea validate[required]" name="q64_itemDescription64" cols="40" rows="6" placeholder="Laptop"></textarea>
        </div>
      <div class="form-description" style="display: none; "><div class="form-description-arrow"></div><div class="form-description-arrow-small"></div><div class="form-description-content">Technical Specifications and Details of Item</div></div></li>
      <li class="form-line" id="id_85" style="display: none; ">
        <label class="form-label-left" id="label_85" for="input_85"> List of Suppliers 7 </label>
        <div id="cid_85" class="form-input">
          <textarea id="input_85" class="form-textarea" name="q85_listOf85" cols="40" rows="6"></textarea>
        </div>
      </li>
      <li id="cid_49" class="form-input-wide" style="display: none; ">
        <div class="form-header-group">
          <h3 id="header_49" class="form-header">
            Item Number 8
          </h3>
        </div>
      </li>
      <li class="form-line" id="id_43" style="z-index: 0; display: none; ">
        <label class="form-label-left" id="label_43" for="input_43">
          Item Name 8<span class="form-required">*</span>
        </label>
        <div id="cid_43" class="form-input">
          <input type="text" class="form-textbox validate[required, AlphaNumeric]" id="input_43" name="q43_itemName43" size="20" maxlength="255" placeholder="Laptop">
        </div>
      <div class="form-description" style="display: none; "><div class="form-description-arrow"></div><div class="form-description-arrow-small"></div><div class="form-description-content">Name of the Item</div></div></li>
      <li class="form-line" id="id_55" style="display: none; ">
        <label class="form-label-left" id="label_55" for="input_55">
          Quantity 8<span class="form-required">*</span>
        </label>
        <div id="cid_55" class="form-input">
          <select class="form-dropdown validate[required]" style="width:150px" id="input_55" name="q55_quantity8">
            <option>  </option>
            <option value="Option 1"> Option 1 </option>
            <option value="Option 2"> Option 2 </option>
            <option value="Option 3"> Option 3 </option>
          </select>
        </div>
      </li>
      <li class="form-line" id="id_79" style="z-index: 0; display: none; ">
        <label class="form-label-left" id="label_79" for="input_79">
          Cost 8<span class="form-required">*</span>
        </label>
        <div id="cid_79" class="form-input"><span class="form-sub-label-container"><input type="text" class="form-textbox validate[required, Numeric]" id="input_79" name="q79_cost8" size="20" maxlength="5" placeholder="10000">
            <label class="form-sub-label" for="input_79"> Rs. </label></span>
        </div>
      <div class="form-description" style="display: none; "><div class="form-description-arrow"></div><div class="form-description-arrow-small"></div><div class="form-description-content">Cost of single unit of the Item</div></div></li>
      <li class="form-line" id="id_63" style="z-index: 0; display: none; ">
        <label class="form-label-left" id="label_63" for="input_63">
          Item Description &amp; Specifications 8<span class="form-required">*</span>
        </label>
        <div id="cid_63" class="form-input">
          <textarea id="input_63" class="form-textarea validate[required]" name="q63_itemDescription63" cols="40" rows="6" placeholder="Laptop"></textarea>
        </div>
      <div class="form-description" style="display: none; "><div class="form-description-arrow"></div><div class="form-description-arrow-small"></div><div class="form-description-content">Technical Specifications and Details of Item</div></div></li>
      <li class="form-line" id="id_84" style="display: none; ">
        <label class="form-label-left" id="label_84" for="input_84"> List of Suppliers 8 </label>
        <div id="cid_84" class="form-input">
          <textarea id="input_84" class="form-textarea" name="q84_listOf84" cols="40" rows="6"></textarea>
        </div>
      </li>
      <li id="cid_46" class="form-input-wide" style="display: none; ">
        <div class="form-header-group">
          <h3 id="header_46" class="form-header">
            Item Number 9
          </h3>
        </div>
      </li>
      <li class="form-line" id="id_42" style="z-index: 0; display: none; ">
        <label class="form-label-left" id="label_42" for="input_42">
          Item Name 9<span class="form-required">*</span>
        </label>
        <div id="cid_42" class="form-input">
          <input type="text" class="form-textbox validate[required, AlphaNumeric]" id="input_42" name="q42_itemName42" size="20" maxlength="255" placeholder="Laptop">
        </div>
      <div class="form-description" style="display: none; "><div class="form-description-arrow"></div><div class="form-description-arrow-small"></div><div class="form-description-content">Name of the Item</div></div></li>
      <li class="form-line" id="id_54" style="display: none; ">
        <label class="form-label-left" id="label_54" for="input_54">
          Quantity 9<span class="form-required">*</span>
        </label>
        <div id="cid_54" class="form-input">
          <select class="form-dropdown validate[required]" style="width:150px" id="input_54" name="q54_quantity9">
            <option>  </option>
            <option value="Option 1"> Option 1 </option>
            <option value="Option 2"> Option 2 </option>
            <option value="Option 3"> Option 3 </option>
          </select>
        </div>
      </li>
      <li class="form-line" id="id_80" style="z-index: 0; display: none; ">
        <label class="form-label-left" id="label_80" for="input_80">
          Cost 9<span class="form-required">*</span>
        </label>
        <div id="cid_80" class="form-input"><span class="form-sub-label-container"><input type="text" class="form-textbox validate[required, Numeric]" id="input_80" name="q80_cost9" size="20" maxlength="5" placeholder="10000">
            <label class="form-sub-label" for="input_80"> Rs. </label></span>
        </div>
      <div class="form-description" style="display: none; "><div class="form-description-arrow"></div><div class="form-description-arrow-small"></div><div class="form-description-content">Cost of single unit of the Item</div></div></li>
      <li class="form-line" id="id_19" style="z-index: 0; display: none; ">
        <label class="form-label-left" id="label_19" for="input_19">
          Item Description &amp; Specifications 9<span class="form-required">*</span>
        </label>
        <div id="cid_19" class="form-input">
          <textarea id="input_19" class="form-textarea validate[required]" name="q19_itemDescription19" cols="40" rows="6" placeholder="Laptop"></textarea>
        </div>
      <div class="form-description" style="display: none; "><div class="form-description-arrow"></div><div class="form-description-arrow-small"></div><div class="form-description-content">Technical Specifications and Details of Item</div></div></li>
      <li class="form-line" id="id_83" style="display: none; ">
        <label class="form-label-left" id="label_83" for="input_83"> List of Suppliers 9 </label>
        <div id="cid_83" class="form-input">
          <textarea id="input_83" class="form-textarea" name="q83_listOf83" cols="40" rows="6"></textarea>
        </div>
      </li>
      <li id="cid_45" class="form-input-wide" style="display: none; ">
        <div class="form-header-group">
          <h3 id="header_45" class="form-header">
            Item Number 10
          </h3>
        </div>
      </li>
      <li class="form-line" id="id_41" style="z-index: 0; display: none; ">
        <label class="form-label-left" id="label_41" for="input_41">
          Item Name 10<span class="form-required">*</span>
        </label>
        <div id="cid_41" class="form-input">
          <input type="text" class="form-textbox validate[required, AlphaNumeric]" id="input_41" name="q41_itemName41" size="20" maxlength="255" placeholder="Laptop">
        </div>
      <div class="form-description" style="display: none; "><div class="form-description-arrow"></div><div class="form-description-arrow-small"></div><div class="form-description-content">Name of the Item</div></div></li>
      <li class="form-line" id="id_53" style="display: none; ">
        <label class="form-label-left" id="label_53" for="input_53">
          Quantity 10<span class="form-required">*</span>
        </label>
        <div id="cid_53" class="form-input">
          <select class="form-dropdown validate[required]" style="width:150px" id="input_53" name="q53_quantity10">
            <option>  </option>
            <option value="Option 1"> Option 1 </option>
            <option value="Option 2"> Option 2 </option>
            <option value="Option 3"> Option 3 </option>
          </select>
        </div>
      </li>
      <li class="form-line" id="id_81" style="z-index: 0; display: none; ">
        <label class="form-label-left" id="label_81" for="input_81">
          Cost 10<span class="form-required">*</span>
        </label>
        <div id="cid_81" class="form-input"><span class="form-sub-label-container"><input type="text" class="form-textbox validate[required, Numeric]" id="input_81" name="q81_cost10" size="20" maxlength="5" placeholder="10000">
            <label class="form-sub-label" for="input_81"> Rs. </label></span>
        </div>
      <div class="form-description" style="display: none; "><div class="form-description-arrow"></div><div class="form-description-arrow-small"></div><div class="form-description-content">Cost of single unit of the Item</div></div></li>
      <li class="form-line" id="id_62" style="z-index: 0; display: none; ">
        <label class="form-label-left" id="label_62" for="input_62">
          Item Description &amp; Specifications 10<span class="form-required">*</span>
        </label>
        <div id="cid_62" class="form-input">
          <textarea id="input_62" class="form-textarea validate[required]" name="q62_itemDescription" cols="40" rows="6" placeholder="Laptop"></textarea>
        </div>
      <div class="form-description" style="display: none; "><div class="form-description-arrow"></div><div class="form-description-arrow-small"></div><div class="form-description-content">Technical Specifications and Details of Item</div></div></li>
      <li class="form-line" id="id_25" style="display: none; ">
        <label class="form-label-left" id="label_25" for="input_25"> List of Suppliers 10 </label>
        <div id="cid_25" class="form-input">
          <textarea id="input_25" class="form-textarea" name="q25_listOf25" cols="40" rows="6"></textarea>
        </div>
      </li>
      <li id="cid_15" class="form-input-wide" style="display: none; ">
        <div class="form-header-group">
          <h3 id="header_15" class="form-header">
            Committee Members
          </h3>
        </div>
      </li>
      <li class="form-line" id="id_12" style="display: none; ">
        <label class="form-label-left" id="label_12" for="input_12">
          Member 1<span class="form-required">*</span>
        </label>
        <div id="cid_12" class="form-input">
          <select class="form-dropdown validate[required]" style="width:150px" id="input_12" name="q12_member1">
            <option>  </option>
            <option value="Option 1"> Option 1 </option>
            <option value="Option 2"> Option 2 </option>
            <option value="Option 3"> Option 3 </option>
          </select>
        </div>
      </li>
      <li class="form-line" id="id_11" style="display: none; ">
        <label class="form-label-left" id="label_11" for="input_11">
          Member 2<span class="form-required">*</span>
        </label>
        <div id="cid_11" class="form-input">
          <select class="form-dropdown validate[required]" style="width:150px" id="input_11" name="q11_member2">
            <option>  </option>
            <option value="Option 1"> Option 1 </option>
            <option value="Option 2"> Option 2 </option>
            <option value="Option 3"> Option 3 </option>
          </select>
        </div>
      </li>
      <li class="form-line" id="id_10" style="display: none; ">
        <label class="form-label-left" id="label_10" for="input_10">
          Member 3<span class="form-required">*</span>
        </label>
        <div id="cid_10" class="form-input">
          <select class="form-dropdown validate[required]" style="width:150px" id="input_10" name="q10_member3">
            <option>  </option>
            <option value="Option 1"> Option 1 </option>
            <option value="Option 2"> Option 2 </option>
            <option value="Option 3"> Option 3 </option>
          </select>
        </div>
      </li>
      <li id="cid_92" class="form-input-wide">
        <div class="form-header-group">
          <h3 id="header_92" class="form-header">
            Final Steps...
          </h3>
        </div>
      </li>
      <li class="form-line" id="id_8">
        <label class="form-label-left" id="label_8" for="input_8"> Item Specifications </label>
        <div id="cid_8" class="form-input">
          <input class="form-upload validate[upload]" type="file" id="input_8" name="q8_itemSpecifications8" file-accept="pdf,  docx, txt, jpeg" file-maxsize="5120">
        </div>
      <div class="form-description" style="display: none; "><div class="form-description-arrow"></div><div class="form-description-arrow-small"></div><div class="form-description-content">Upload a single file containing product specifications and other details. Acceptable formats are :- pdf,docx,txt,jpeg</div></div></li>
      <li class="form-line form-line-column form-line-column-clear" id="id_4">
        <div id="cid_4" class="form-input-wide">
          <div style="margin-left:186px" class="form-buttons-wrapper">
            <button id="input_4" type="submit" class="form-submit-button form-submit-button-light_rounded">
              Submit
            </button>
          </div>
        </div>
      </li>
      <li style="display:none">
        Should be Empty:
        <input type="text" name="website" value="">
      </li>
    </ul>
  </div>
  <input type="hidden" id="simple_spc" name="simple_spc" value="22615540700443-22615540700443">
  <script type="text/javascript">
  document.getElementById("si" + "mple" + "_spc").value = "22615540700443-22615540700443";
  </script>
</form>

</body></html>